Your brother needs to have blood testing done.
This will tell the doctor if there is liver cell damage,
how well the cells of the liver are able to function,
or if he has contacted a virus that can harm his liver cells.
Simple blood testing can give you a great idea
what may be happening.
Liver cell damaged can occur because of:
alcohol consumption, medication toxification,
chemical exposure, mushroom poisoning,
viral infection, parasite infection,
hereditary conditions, metabolic disorders,
auto immune disease, fatty liver disease,
and many others.
This is what takes place in any of these conditions:
the liver cells become damaged...the immune system
of the body will respond to this damage and cause
inflammation to develop inside the liver...the liver
is surrounded by a tight membrane capsule and the
inflammation inside the liver causes pressure....
this will lead to the liver enlarging in size
If the cause can be found early on that is causing the
liver to enlarge in size and if it is stopped and treatment
to reduce the inflammation takes place...then the liver
cells may heal and the problem could be reversed.
However, without treatment and without stopping the
cause...then it may cause the liver cells to start to
die off and form scar tissue inside the liver...it then
becomes an irreversible, progressive disease of
Cirrhosis of the liver. The only cure is a liver
transplant which costs in the range of $300,000
Blood testing is best to be done. If there is an
idea that the liver is enlarged, then ultrasound and
Ct scan may be done to confirm this. Liver biopsy
is the last test usually done ( sometimes they
do this early on) since it is an invasive testing.
Without the testing being done or the examination
to try to feel the lower part of the liver...it is not possible
to say. However, some people do develop
Mononucleosis which can also enlarge the liver.
This is known as the Kissing disease and involves
having enlarged lymph nodes. This can also be
determined by blood testing. If they have pain in this
area where the liver is located...it may be gallstones.
I hope this information has been of help to you.
caregiver to a liver transplant patient